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Haglund’s Deformity

Painful bony prominence at posterior superior aspect of the calcaneus – usually associated with a bursitis. Prominence may be a normal variant that is irritated by shoes  bursitis – the bursitis may be an inflammation of the bursa deep or superficial to the tendo Achilles (deep bursa is banana or “boomerang” shape, resting on calcaneus.

Clinical features: Prominence of posterior, superior. lateral aspect of calcaneus Pain and tenderness – exacerbated by shoes. If deep bursa is involved  may be painful on dorsiflexion.

X-ray: Fowler-Philip angle is usually >75 degrees Normally have a 2mm radiolucent area between achilles tendon insertion and calcaneus – if this is lost  inflammation of bursa